Individual provider Active NPI

Brian Eric Andersen, M.A., LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1326243288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2475 Issued in NE
Practice address
1941 S 42ND St Ste 514
Omaha, NE 68105-2981
Phone
(402) 614-8444
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2475 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 514
Omaha, NE 68105-2981

Mailing address

16260 Patrick Ave
Omaha, NE 68116-2517
Phone (402) 216-7457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002694 NE Practitioner - Mental Health Counselor 5698861334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus C3, PCGroup PAC ID 6103152947, 15 clinicians

Practice addresses (Care Compare)

16850 Frances St
Suite 104
Omaha, NE 68130-2640
Phone (402) 933-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1347NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Voithofer Chiropractic & Accident Rehabilitation LLC CurrentSince Jan 1, 2025 Accepting new patients
Focus C3, PC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

10748 Virginia Plz
Ste 107
Lavista, NE 68128
Phone (402) 933-4411

16850 Frances St
Ste 104
Omaha, NE 68130
Phone (402) 676-9544

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326243288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 PATRICK AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162517",
            "telephone_number": "402-216-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 514",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052981",
            "telephone_number": "402-614-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "BRIAN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "M.A., LMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.